The surface modification of metals by the application of blood compati
ble ceramics is one approach to developing durable and blood-compatibl
e materials. The blood compatibility of sputter-deposited alumina film
s was investigated in vitro. The alumina films were prepared by reacti
ve sputtering and conventional sputtering. Diffractometer studies of t
he alumina films indicate that the sputter-deposited alumina films hav
e amorphous structures. Electron spectroscopy chemical analysis studie
s of the alumina films indicate that the sputter-deposited alumina fil
ms are nonstoichiometric (O/Al ratio of 1.15-1.66). We examined the pl
atelet reaction to the alumina films and the intrinsic coagulation fac
tor XII activation by the alumina films. Medical grade segmented polyu
rethane was also tested. The alumina films experienced an adhesion of
about 50% fewer platelets than the segmented polyurethane. Also, fewer
platelet morphologic changes were observed on the alumina films than
on the segmented polyurethane. Factor XII activation was less on the a
lumina films than on the segmented polyurethane. Surface modification
by the sputter-deposited alumina films is promising for developing blo
od-compatible and durable materials. (C) 1994 John Wiley and Sons, Inc
.